| NPI | 1528567229 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106E00000X Assistant Behavior Analyst (Licence: GA 0-21-12068) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2018-02-08 |
| Last Update Date | 2021-05-03 |